Kua āraia tō urethra? Me ako tātou mō te pokanga Urethroplasty!

Kei te pāngia koe e te kore whakamarie, te mamae, te ngoikore rānei o te mimi i a koe e mimi ana? I ētahi wā, kei te whakaaro koe kāore anō kia mimiti katoa tō pūkahukahu? Ko te take o tēnei āhuatanga, ko tō urethra, te ngongo e kawe ana i te mimi mai i te pūkahukahu ki waho o te tinana, kua āraia, kua whaiti rānei i tētahi wāhi. Nō reira, i tēnei rā ka kōrero tātou mō te Urethroplasty, he pokanga motuhake e mahia ana i roto i tēnei āhuatanga, ā, he tino angitu ngā hua.

He aha te Urethroplasty?

He pokanga te urethroplasty e mahia ana i runga i tō urethra. Ko tēnei ngongo, he wāhanga o tō tātou pūnaha mimi, ka kawe i te mimi mai i te pūkahukahu ki waho o te tinana. I roto i ngā tāne, ka tukuna hoki te purapura mā roto i tēnei ngongo.

Nō reira, mō tētahi take, ka puta he kiko koha i roto i tēnei urethra, ā, ka tīmata te ngongo ki te whaiti, ki te whakawhāiti rānei, ka ārai i te rere o te mimi. I roto i ngā kupu hauora, ka kiia tēnei āhuatanga he urethral stricture . He nui ake te kitea o tēnei āhuatanga i roto i ngā tāne i ngā wāhine.

Ko te urethroplasty he tapahi i te wāhanga kua purua, kua whara o te urethra, ka hono anō i ngā wāhanga hauora e rua o te ngongo. Mēnā he roa te aukati, ka tangohia he wahi kiko mai i tētahi atu wāhanga o te tinana hei whakatika i te wāhanga kua purua.

He maha ngā āhuatanga matua e hiahiatia ai tēnei pokanga:

• Mena he uaua tō te urethra .
• Mena kua pokaina tō urethra i tō tamarikitanga nā ētahi hapa whānau, pērā i te epispadias , i te hypospadias rānei, he nui ake te tūponotanga ka hoki anō ngā aukati i roto i ngā urethra kua pokaina i mua.
• Hei wāhanga o tētahi atu pokanga hanga anō.

Me pēhea te mahi pokanga? Nō hea te kiko e tangohia mai ai?

Ko te roa o te wā e pau ana mō tēnei pokanga ka whakawhirinaki ki te roa me te āhua o te aukati. Ka taea te whakaoti i tētahi aukati iti i roto i te wā poto ake. Heoi, ka roa ake te wā mō tētahi aukati roa nā te mea me tango he wahi kiko mai i tētahi atu wāhi hei whakatika.

Nā, me titiro tātou ki te wāhi e riro mai ai te kiko hei whakatika i te urethra.

He aha ngā mea ka tupu i mua i te pokanga?

I mua i te pokanga, me mōhio tō tākuta ki te wāhi e aukati ana i roto i tō urethra me tōna roa. Ko te tikanga ka uru atu he hihi-X (retrograde urethrogram) he tikanga rānei e arahina ana e te kāmera (cystoscopy) . Ehara ēnei i te whakamātautau tino mamae.

Kātahi, i mua i te rā o te pokanga, ka hoatu he tohutohu ki a koe mō te wā e kai ai, e inu ai, me te mea rānei me mutu te tango i ngā rongoā e tangohia ana e koe.

I ētahi wā, ka tūtohu pea tō tākuta kia whakatakotoria he catheter suprapubic i mua i te pokanga. He tikanga tēnei e whakaurua ai he ngongo mā te puku o raro, tika tonu ki roto i te pūkahukahu, hei tango i te mimi. Mā tēnei ka taea e te urethra te "okioki" i te wā e mimiti ana te pūkahukahu, kia mārama ake ai te kitea o te kiko whara. Mā tēnei ka māmā ake te tango i te wāhi i te wā pokanga.

He aha ngā mea ka tupu i muri i te pokanga? He pēhea te roa o te wā whakaora?

I muri i te pokanga, ka puritia koe i roto i te rūma whakaora tae noa ki te oho ake i te rongoā whakamoe. I te nuinga o te wā, ka taea e koe te hoki ki te kāinga i taua ahiahi tonu, ki te kore rānei me noho koe ki te hōhipera mō te pō. Ina hoki koe ki te kāinga, ka whakauruhia he catheter ki roto. Ko te tikanga o tēnei he pupuri i te rere o tō mimi kia kore e aukatia tae noa ki te wā e ora ai te urethra hou.

I tua atu i tēnā, ka hoatu ki a koe ngā rongoā whakamamae mamae, ngā paturopi hei ārai i te mate, me ngā rongoā hei ārai i te kōpiripiri koretake o te pūkahukahu. Mēnā i tangohia he kiko mai i te waha, ka kīia atu ki a koe kia whakamahia he wai horoi waha motuhake hei pupuri i te ma o te patunga.

Ka tukuna atu he rā ki a koe hei tirotiro anō i tō tākuta i ngā wiki e rua, e toru rānei i muri i te pokanga. I taua wā, me whai hihi-X pea koe hei tirotiro i te whakatikatika. Ko te tikanga o tēnei ko te whakakī i tō pūkahukahu ki tētahi wai motuhake, te tango i te urethra, me te tango pikitia hihi-X i a koe e mimi ana.

Kia maumahara ki ēnei mea i te wā e ora ana koe

• Me karo koe i te taraiwa, i te noho rānei mō te wā roa i te wā e mau ana tō catheter mimi.
• Kaua e noho whiti waewae, kaua hoki e mahi i ngā mea me ō waewae e horapa whānui ana (pērā i te piki arawhata) . He pai te hikoi noa me te piki arawhata.
• Ahakoa kua tangohia te catheter urethra, me karo tonu koe i te moe tāne me te wahine, te mahi rānei i te urethra mō ngā wiki e ono mai i te rā o te pokanga.
• Ka tere te ora o te patunga i roto i te waha. I roto i te toru wiki pea, ka puta he kiko hou, ā, ka kati te patunga.
• I te nuinga o te wā me tango koe i tētahi wā hararei mai i te mahi, i te kura rānei mō ngā wiki e rua, e toru rānei i muri i te whakaurunga o tō catheter mimi.

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Ko te painga nui o tēnei pokanga koia te huarahi pai rawa atu, me te huarahi tino whai hua ki te rongoā i te aukati o te urethra. Kua whakaatuhia e ngā rangahau ko te angitu o tēnei pokanga he neke atu i te 80%, ā, i ētahi wā, he neke atu i te 90%.

Pērā i ngā pokanga katoa, he tūponotanga anō kei reira. He mea noa ngā raruraru o te rongoā whakamoe me te mate pāwera o te patunga.

Ko te mōrearea matua ko te kore pea e angitu te pokanga mō te wā roa, ā, ka hoki anō ngā koha, ka piri. Mēnā ka tupu tēnā, me pokanga anō pea koe. Koia te mea nui kia haere mai koe ki te whare hauora i ngā rā kua whakaritea e te tākuta kia tirohia ai koe.

Ētahi atu mōrearea onge:

• Te kino rangitahi ki ngā io o ngā waewae, ngā ringa, me ngā maihao nā te tūranga i te wā o te pokanga.
• Te mamae i te rohe i waenganui i ngā raho me te nono nā te kino o te io.
• Tērā pea ka kohia te mimi, te purapura rānei ki te wāhi e pokanga ana, ka puta he turuturu, he wai rānei mai i te ure.
• Te ngoikore o te ure . Heoi, ahakoa ka puta tēnei, he wā poto noa iho, ā, ka ea i roto i ngā marama 18, iti iho rānei.

Āhea te wā e tika ai kia kite tonu i tō tākuta

Mena he uaua ki a koe te mimi, he maha ngā mate pāwera o te ara mimi, kua kīia rānei e te tākuta he aukati kei roto i tō urethra, me rapu tohutohu hauora.

Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te urethroplasty, me whakamōhio tonu atu ki tō tākuta.

Kaua e wehi ki te kōrero ki tō tākuta mō ngā tohu e āwangawanga ana koe. Ko ia te tangata pai rawa atu hei tohutohu i a koe i te mea pai hei mahi i muri mai.